Publications by authors named "Kristina Brant"

Background: Women with substance use disorders (SUDs) often experience adversity related to incarceration and reentry that can impact their substance use outcomes. This study aims to examine the adverse effects of incarceration and reentry on substance use outcomes among women with a history of opioid use disorder (OUD).

Methods: We carried out 42 semi-structured interviews (May-July 2022) with women with a history of criminal legal involvement and OUD (n = 20), criminal legal professionals (n = 10), and SUD treatment professionals (n = 12).

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Article Synopsis
  • Methadone Maintenance Treatment (MMT) is effective in reducing risks related to opioid use disorder (OUD), but less than 10% of those affected in the U.S. receive it, particularly among women involved in the criminal justice system.
  • A study involving interviews with women in Pennsylvania and substance use disorder professionals highlighted that women feel their bodily agency is compromised by strict OTP policies, which can harm their treatment experience and retention.
  • The research calls for MMT programs to adopt a more patient-centered and trauma-informed approach, emphasizing the importance of empowering women in their treatment decisions to enhance effectiveness.
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Purpose: This study investigates the experiences of one rural community in Central Pennsylvania following the closure of its singular pharmacy and primary health care facility. It aims to understand community members' responses and adaptations to declining health care accessibility and broader implications for rural health policy and practice.

Methods: Employing a qualitative case study design, researchers conducted 26 in-depth interviews from May to December 2022.

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Article Synopsis
  • The study looked at how women with opioid use disorder (OUD) and professionals view the challenges they face in preventing overdoses and using harm reduction practices.
  • Researchers interviewed 42 people, including women with OUD and professionals who help them, to find out what barriers exist and how to improve engagement.
  • Key findings showed that women are especially at risk of overdose due to toxic drugs and lack of knowledge; they suggested improving access to help, more education, and changing the way harm reduction is viewed.
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In 2022, Penn State College of Medicine launched the LION Mobile Clinic, a teaching mobile health clinic offering preventive health services in rural Snow Shoe, Pennsylvania. We outline four challenges the clinic team faced in implementation, along with adaptations made to tailor the model to Snow Shoe's needs and opportunities.

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Objective: While social networks influence individuals with substance use disorders (SUDs), the mechanisms for such influence are under-explored among women who use drugs. This study triangulates the perspectives of criminal justice professionals, SUD treatment professionals, and women with past and current experiences with substance use to explore these dynamics.

Method: We conducted semistructured interviews ( = 42) in 2022 with women with current or past opioid use disorder ( = 20), SUD treatment professionals ( = 12), and criminal justice professionals ( = 10) who work with women with opioid use disorder.

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Introduction: The disproportionate incidence of opioid use disorder (OUD) and the alarming increases in opioid-related overdose deaths among women highlight a clear need for the expansion of effective harm reduction and treatment practices. Research supports medications for opioid use disorders (MOUD) as an effective intervention; however, with low rates of utilization of such, there is a need to identify factors that facilitate MOUD treatment uptake and retention for women. Thus, the current study examines contributors to treatment success through the triangulation of perspectives from affected women as well as health and criminal justice professionals.

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Background: Women face unique barriers when seeking treatment for substance use disorders, often related to pregnancy and parenting.

Objectives: This study adds to the extant literature by elucidating the pregnancy- and parenting-related barriers women face when initiating or continuing medication for opioid use disorder, specifically.

Design: This study is based on qualitative semi-structured interviews.

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